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for nursing services and at the same time create a LDL Bldg., F. Bangoy St.

, Davao City
testing alternative model for the nurses to If you’re interested to join a nurse coop
remuneration outside their traditional mode of
227-4289, US for help:
employment. This project will push the boundaries of
nursing practice in the Philippines.”
- Dr. Josefina Tuazon, UPCN Cel. No. 09219027178

“We foresee that the impact of this initiative will be in e-mail:
the public health realm, in addressing the many website:
health concerns of poor, rural communities.” INTRODUCING THE
- Usec. Carmelita Pineda, DOLE Focal Person
Project NARS & Project EntrepreNurse
Davao City EntrepreNurse
Health Care
“Nurses will not remain employees all throughout their
Marina Ledesma, Chairman NURSE
Cel. No. 09177043431
career life, so they must bear the challenges of the
economic situation. This initiative will change the e-mail: ENTREPRENEURSHIP
face of nursing in the country.” AMONG UNEMPLOYED
- Mr. Marco Antonio Santo Tomas, BON-PRC Davao Oriental EntrepreNurse Health Care
Services NURSES
“I would like to manifest to all of you that Davao
Oriental is giving on all out support for this
Geofford Montejo, Chairman
- Gov. Corazon Malanyaon, Davao Oriental
Cel. No.: 09212703091 HEALTH OBJECTIVES
e-mail :
“This project is going to be able to serve not just our
personal and professional needs but also the needs
of our countrymen who need our services.” Davao del Sur Health Care Services
- Sec. Esperanza I. Cabral, DOH Cooperative
Jessamine Dela Peña, Chairman
“Each of you will be proud to say, that this project was Cel. No. 09285213498
conceived, was developed, and was born here in e-mail:
Davao City.”
- Sec. Marianito D. Roque, DOLE DavNor EntrepreNurse Service Cooperative

Paul John Gabayan, Chairman

HELP? Cel. No.: 09202606917

e-mail : An initiative of DOLE, in collaboration with

SEND two or three or a hundred nurses for Project Description
DOH, PNA, UPCN, OHNAP and other government and non-
six months to a poor rural community and Comval Nurses Health Care Services government entities, and academic institutions to promote
Cooperative nurse entrepreneurship in the Philippines:
see the tremendous impact.
Elizar Bulac, Chairman
to reduce the cost of health care for the country’s
Cel. No. 09283539966
ADOPT a nurse cooperative and help e-mail: indigent population by bringing primary health care
sustain the mission of hundreds of public services to poor rural communities,

health advocates. OR CONTACT YOUR NEAREST DOLE to maximize employment opportunities for the
REGIONAL OFFICE country’s unemployed nurses and
DONATE to a nurse cooperative.
to utilize the country’s unemployed human resources
for health for the delivery of public health services and
OUTSOURCE the delivery of your health the achievement of the country’s Millennium
care services to a nurse cooperative. Development Goals on maternal and child health,
consistent with the Fourmula One for Health
framework of the Department of Health.
population is even more worrying: Compostela Valley has only 1
government doctor for every 49,666 population and one government
Hospice, domiciliary and healthcare facility
Project Beneficiaries nurse for every 40,353; Davao del Norte has one doctor for every ENTREPRENEURSHIP
HMO members, PhilHealth members, self-paying 53,924 and one nurse for every 27,832; Davao Oriental has one
Public health advocacy
patients, convalescent patients, patients needing long- doctor for every 49,189 and one nurse for every 32,793; Davao del
term treatment, elderly, occupationally disabled, Sur has one doctor for every 49,189 and one nurse for every 32,793;
Home health care services
identified poor rural communities, and unemployed Davao City, the regional center, has one doctor for every 73,484 and Outsourcing public health delivery for LGUs,
nurses. one nurse for every 39,891. Therefore, the deployment of nurses to NGAs, and
poor rural communities in these provinces is an urgent need. other government institutions
Medical transcription services
ARTICLE VI, RA 9173 On the other hand, the oversupply of registered nurses in the
country, now estimated at 150,000, resulting from the boom in the
Health care training management
NURSING PRACTICE Emergency medical services
number of nursing schools and the spike in nursing enrolment from
Section 28. Scope of Nursing. - A person shall be deemed the 1980s to 2008 (there has been a 17% drop in enrolment for 2009) Tourism health care services
to be practicing nursing within the meaning of this Act when has brought home the issue of how to provide employment Wellness and fitness management for private
he/she singly or in collaboration with another, initiates opportunities for our unemployed nurses. The DOLE’s Project NARS companies
Department of Labor and Employment (DOLE) – Provide overall
and performs nursing services to individuals, families and has provided temporary employment for 11,000 nurses all over Outsourcing health services for private
management and direction and provide financial assistance in the
communities in any health care setting. It includes, but not country in 1,000 poverty-stricken municipalities. establishments per Labor Code requirement
limited to, nursing care during conception, labor, delivery, Implementing
form of grants
Entities and Their
to nurses’ cooperatives which the latter will use as
start-up capital. The DOLE through its regional offices shall also Medical mission management for private
infancy, childhood, toddler, preschool, school age,
adolescence, adulthood, and old age. As independent Principal Roles
assist the nurses organize themselves into cooperatives or
associations and register themselves with the appropriate
companies and LGUs
practitioners, nurses are primarily responsible for the Periodic physical examination of workers for
government authority.
promotion of health and prevention of illness. PROCESS
private companies
Department of Health (DOH) – Lead in the formulation or reform
Article V, RA 7164 of health policies in support of this initiative, including referring FLOW
NURSING PRACTICE patients to the project’s nurses’ cooperatives.

Section 27. Scope of Nursing. - A person shall be deemed Philippine Health Corporation (PhilHealth) – Upon approval of
to be practicing nursing within the meaning of this Act when its Board of Directors, shall modify its rules to include home and
he/she, for a fee, salary or other reward or compensation, rehabilitation services as part of its package of benefits for
singly or in collaboration with another, initiates and Philhealth members and pay for or reimburse home health care
performsThis nursing services of nurses’ cooperatives registered with the CDA under this
initiativeservices to individuals,
aims to achieve families
public health and
and at the samein various stagesthe
time address of unemployment
development toward
problemthe of
promotion of health,
licensed nurses prevention
in the country. of illness,
The restoration
strategy of health,
is to encourage Board of Nursing-Professional Regulation Commission (BON-
and alleviation
nurses to form of suffering. and manage nurses’ clinics, under
cooperatives PRC) – Promote nurse entrepreneurship among the country’s
the supervision of trained and experienced nurses, which will nursing students and schools and research on the feasibility of
deploy newly licensed nurses to poor rural communities with including nurse entrepreneurship in the BSN curriculum; Design and
little or no access to basic health care and with substantial implement an Enterprise Development Training Course for nurses’
populations of sick, elderly and disabled patients. These cooperatives in partnership with the Cooperatives Development
services will be compensated by the LGU, Philhealth, HMOs, by Authority.
the patients themselves on a per visit basis, or from grants
University of the Philippines College of Nursing and
from local and foreign donors. Congressmen’s and Senator’s
Philippine Nurses Association (UPCN and PNA)– Research and
Priority Development Funds shall also be tapped. formulate costing standards that our nurses’ cooperatives can use
Quality health care is an expensive option for most as guide in fixing the cost of their services; formulate metrics in
evaluating socio-economic impact of the project on public health in
Filipinos, many of whom do not have health insurance. The
pilot communities and conduct evaluation using the same metrics.
popular saying, “Bawal Magkasakit” is not only an attempt at
dark humor but reflects a reality that the overwhelming Philippine Nurses Association (PNA) – Shall promote the
majority of Filipinos simply cannot afford quality health care. concept of nurse entrepreneurship among its chapters and
The data from the HMOs is that only less than 15% of the members and help obtain funding grants from abroad, particularly
population have health insurance. The rest pay for health care its overseas chapters.
services either out of pocket or through the Philhealth. In
2002, the World Health Organization estimated that of total Occupational Health Nurses Association of the Philippines
health expenditures in the Philippines, 47.5% is out of pocket. (OHNAP) – Refer qualified patients from their company-based
clinics to the project’s nurses’ cooperatives; and train nurse
Beyond the issue of the high cost of quality health cooperative members on basic occupational safety and health for
care, access to primary health care is also a problem amongst nurses
poor rural communities. In one report of one of our nurses Cooperatives Development Authority (CDA) – Shall register
under Project NARS, a pregnant woman died under his watch nurses’ cooperatives and train them on cooperativism.
simply because the upland town lacked oxygen supplies. The
Philippines has one of the worst health manpower to Insurance Commission (IC) – Shall promote the Project among
population ratio in Asia. In 1999, our ratio of one doctor per HMOs to include home health care as part of its package of benefits
9,689 population is only slightly better than Cambodia’s 9,997, for their HMO member.